الفهرس 
Nutrition in chronic Kidney diseaseOnly 14 pages are availabe for public view
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Abstract
There is a high prevalence of protein energy malnutrition in the end stage renal disease population.
Nutritional disturbances are serious complications in hemodialysis (HD) patients.
Because nutritional assessment is difficult, Subjective Global Assessment (SGA) was developed to help in this regard. Its ratings have been found to be highly predictive of outcome.
Subjective global assessment (SGA), as a semi-quantative method of assessment for nutritional status, has widespread use among hemodialysis patients both in research studies and in clinical practice.
Our study included 120 patients on regular hemodialysis from two different hospitals divided into two groups. Group I (Elsanta hospital) including 56 patients & group II including 64 patients both groups subjected to subjective global assessment score questionnaire in addition to routine laboratory investigations, full history and clinical examination.
Our study showed that, the most common etiologies of both groups were hypertension, DM and glomerulonephritis.
Most of hemodialysis patients in both groups were anemic, with high proportion of patients had evidence of inflammation.
In this study the mean subjective global assessment score in group I [Elsanta hospital] was (20.42±SD 10.71). This means that most of hemodialysis patients were moderately malnourished patients, similarly, mean SGA score in group II [Elmenshawy hospital] was (16.75± SD 8.94) . Although this score is also considered moderately malnourished patients, it is much better compared to group I.
In our study 57.5% of HD patients moderately malnourished, 36.66% HD patients well nourished and 5.83% HD patients severely malnourishd.
In our study there were +ve significant correlations between SGA-score and Hb level, CRP, serum albumin and body mass index in both groups.
SGA score is a simple , reliable measure to assess nutritional status of hemodialysis patients. If used over time it can help to detect malnutrition early to make appropriate recommendations to prevent malnutrition.